Clinical StudyTransradial versus Transfemoral Access for Hepatic Chemoembolization: Intrapatient Prospective Single-Center Study
Section snippets
Study Design
This study was a prospective, single-center, intrapatient comparison of TFA and TRA for patients with hepatic malignancies undergoing 2 consecutive chemoembolizations. The indication for treatments was based on a multidisciplinary tumor board evaluation. The study was conducted in compliance with the principles and protocols stated in the Declaration of Helsinki, in accordance with the International Conference on Harmonization Harmonized Tripartite Guideline for Good Clinical Practice. The
Results
Technical success of chemoembolization treatment sessions was obtained in all patients (100%). There was no switch from radial access to femoral access during any procedure (crossover rate 0%). Angiographic and procedural results are reported in Table 2. TRA treatments required a significantly longer preparation time for the procedure (P < .008); TRA procedures were also characterized by longer puncture, fluoroscopy, and total examination times, with higher mean radiation doses (RAK) and
Discussion
Recent literature demonstrated the superiority of TRA compared with TFA for percutaneous coronary interventions, reducing procedure-related bleeding complications and improving patient satisfaction 6, 7, 8. Despite the shift in access site preference among interventional cardiologists in favor of TRA, this technique is rarely used by interventional radiologists in the systemic circulation. In recent years, several articles suggested that TRA could be a valuable alternative to TFA for visceral
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Cited by (43)
Chinese expert consensus on transradial access in percutaneous peripheral interventions
2023, Journal of Interventional MedicineTransradial versus Transfemoral Access for Patients with Liver Cancer Undergoing Hepatic Arterial Infusion Chemotherapy: Patient Experience and Procedural Complications
2022, Journal of Vascular and Interventional RadiologyCitation Excerpt :If examination indicated the possibility of radial artery occlusion (RAO), ultrasound was performed to determine the patency status of the RA. The preparation and puncture times were defined as reported previously (10). The time of catheterization was determined from the time when the catheter was placed into the sheath until the catheter was positioned in the proper tumor feeding artery.
Society of Interventional Radiology Quality Improvement Standards on Radial Artery Access
2021, Journal of Vascular and Interventional RadiologyCitation Excerpt :The interest in TRA has been driven by multiple prospective randomized trials, meta-analyses, and retrospective cardiology studies demonstrating significant benefits of TRA compared to transfemoral access (3), including but not limited to: patient preference (4), decreased access site complications in general (5–8), and, for elderly patients (9,10), decreased overall complications and decreased mortality (11–14). Interventionalists in other specialties have been slower to adopt TRA, but recent publications by vascular surgeons (15–17), neurointerventionalists (18–22), and interventional radiologists (23–47) indicate that TRA is being used across a variety of procedures to treat many medical conditions outside of the heart. This quality improvement (QI) standard outlines the principles for performing TRA and has been developed for use in evaluating the outcomes of TRA in clinical practice.
Effects and safety of body positioning on back pain after transcatheter arterial chemoembolization in people with hepatocellular carcinoma: A randomized controlled study
2020, International Journal of Nursing StudiesAnalysis of the experience and procedural complications of trans-radial access versus trans-femoral access for hepatic arterial perfusion chemotherapy in patients with advanced hepatic malignancies:a retrospective study
2024, Chinese Journal of Internal Medicine/Zhonghua Neike Zazhi
None of the authors have identified a conflict of interest.